Individual provider Active NPI

Iyengar Malini, M.D.

  • Psychiatry Physician
  • Bakersfield, CA
National Provider Identifier
1699842633
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C43345 Issued in CA
Practice address
8329 Brimhall Road
Suite 804
Bakersfield, CA 93312
Phone
(661) 431-1555
Fax
(661) 471-2410
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X C43345 CA
Psychiatry Physician 2084P0800X C43345 CA Primary

Addresses

Primary practice location

8329 Brimhall Road
Suite 804
Bakersfield, CA 93312

Mailing address

PO Box 10748
Bakersfield, CA 93389-0748
Phone (661) 431-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081210000293 CA Practitioner - Psychiatry 5890856736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kern Psychiatric Health and Wellness Center IncGroup PAC ID 5193080323, 7 clinicians

Practice addresses (Care Compare)

8329 Brimhall Rd
Suite 804
Bakersfield, CA 93312-4386
Phone (661) 431-1555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C43345CAMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kern Psychiatric Health and Wellness Center Inc Psychiatry CurrentSince Nov 20, 2017 Accepting new patients
Kern Psychiatric Health and Wellness Center Inc Past Accepting new patients

Locations

6313 Schirra Ct
Ste 1
Bakersfield, CA 93313
Phone (661) 316-3040

5201 White Ln
Bakersfield, CA 93309
Phone (661) 398-1800

8329 Brimhall Rd
Ste 804
Bakersfield, CA 93312
Phone (661) 431-1555

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1699842633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10748",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933890748",
            "telephone_number": "661-431-1555",
            "fax_number": "661-471-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8329 BRIMHALL ROAD",
            "address_2": "SUITE 804",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93312",
            "telephone_number": "661-431-1555",
            "fax_number": "661-471-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALINI",
        "first_name": "IYENGAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "C43345",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C43345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.